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International Journal of Arrhythmia 2018;19(2): 145-185.
doi: https://doi.org/10.18501/arrhythmia.2018.010
2018년 대한부정맥학회 실신 평가 및 치료 지침 – 각론
김유리1, 천광진2, 김준수3, 문희선4, 박준범5, 서대원6, 송미경7, 안진희8, 윤 희9, 이대인10, 이영수11, 차명진12, 배은정13, 김대14
1가톨릭대학교 의과대학
2강원대학교 의과대학
3성균관대학교 의과대학
4국군수도병원
5이화여자대학교 의과대학
6성균관대학교 의과대학
7서울대학교 어린이병원
8부산대학교 의과대학
9성균관대학교 의과대학
10충북대학교 의과대학
11대구가톨릭대학교 의과대학
12서울대학교 의과대학
13서울대학교 어린이병원
14인하대학교 의과대학
2018 KHRS guideline for the evaluation and management of syncope-Part 2
Yoo Ri Kim 1, Kwang Jin Chun 2, June Soo Kim 3, Hee Sun Mun 4, Junbeom Park 5, Dae Won Seo 6, Mi Kyoung Song 7, Jinhee Ahn 8, Hee Yoon 9, Dae In Lee 10, Young Soo Lee 11, Myung-jin Cha 12, Eun-Jung Bae 13, Dae Hyeok Kim 14
Received: June 21, 2018.  Accepted: June 29, 2018.
Abstract
The general concept and initial approach to syncope patients has been mentioned in the general sections. This special sections have been described the characteristics, diagnosis, and treatment with patient education for the each syncope. It has been described in order of reflex syncope, orthostatic hypotension, postural orthostatic tachycardia syndrome (POTS), cardiac syncope, and unexplained syncope.
Several clinical issues will have been dealt with in special issues. Neurological assessment is added when the patients were diagnosed with psychogenic pseudosyncope (PPS). Although many childhood syncope caused by reflex syncope, they are also presented as syncope caused by arrhythmic events in patients with congenital heart disease. In the elderly patients, syncope is because of not only a single cause of syncope but a combination of various conditions. In case of a syncope patient visiting the emergency department, a standardized systematic approach will be required to determine whether hospitalize the patient according to the risk of recurrence and the needs for the syncope management unit. We also mention recommendations on the limits of driving, exercising and social life style that are relevant to syncope in all patients. In this guideline, we reviewed the Korean published literatures and European/American guidelines on syncope.